| NPI | 1174974646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA LM469) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 229858) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |